Attitudes of Nursing Staff in Hospitals towards Restraint Use: A Cross-Sectional Study (original) (raw)
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Nurses' knowledge, attitudes and practices related to physical restraint: a cross-sectional study
International Nursing Review, 2018
Aim: To investigate nurses' knowledge, attitudes and practices related to physical restraint in tertiary hospitals and identify the factors that influence physical restraint use. Background: Physical restraint is used to maintain patient safety. Nurses play an important role in the restraint process. It is important to identify their understanding, feelings and approach regarding the use of physical restraint. Introduction: Physical restraint is widely practiced in hospitals in China. However, it results in a range of serious negative consequences. This article provides a clear description of nurses' knowledge, attitudes and practices related to physical restraint. Methods: A cross-sectional survey was conducted. The participants were asked to complete a questionnaire examining their knowledge, attitudes and practices related to physical restraint use. A total of 200 questionnaires were distributed in four tertiary hospitals in Hubei Province, China between August and October 2014. Results: The nurses' responses indicated a good level of knowledge regarding physical restraint use. However, they held some misconceptions. The nurses' attitudes towards physical restraint tended to be neutral. The nurses were well experienced in the use of physical restraint. Nurses who had received on-the-job training performed better than those who had received no training related to knowledge and practices regarding physical restraint use. Conclusions and implication for nursing/health policy: In-service training is highly recommended for nursing managers to improve nurses' physical restraint related knowledge and practices. Regulations regarding the use of restraints should be established as soon as possible by healthcare administration system. Implications for nursing: Nurses should be open to evaluate and improve their views and attitudes regarding effective physical restraint use via multidimensional interventions.
Restraint use in the acute-care hospital setting: A cross-sectional multi-centre study
2020
BACKGROUND Restraints are likely to negatively affect patients' health and therefore a reduction in their usage is recommended for all health-care settings. To date, research on restrictive practices has concentrated on mental health and long-term care settings. In the acute-care hospital setting few studies have been published and these studies mainly focus on physical/mechanical restraints in specific subpopulations and/or on intensive care units. However, to ensure restraints are used as little as possible in the acute-care hospital setting, it seems important to investigate more comprehensively the use of restraints, to include all types of restraints irrespective of ward type or subpopulations and to identify factors associated with restraint use. OBJECTIVE The aim of this study was to investigate restraint use regardless of ward type in the acute-care hospital setting, including restraint type, reasons for restraint use, process indicators when using restraints and restrai...
The Other Side of the Coin: Nurses' Views and Behavior on Physical Restraint
Acta bioethica, 2018
Aim: To study the views and behaviors of the nurses who apply physical restraint. Research Design: The study was designed as a descriptive study. The data were collected using a questionnaire form and analyzed by chi-square tests. The study was conducted at a university hospital. The convenience sample consisted of 93 voluntary nurses. Findings: The decision to initiate/terminate the physical restraint is mostly (63.4%) made by the physician and the nurse together, and frequently (96.8%) wrist belts are used. While one-third of the nurses (33.4%) apply the restraint for more than 7 days, 21.4% never loosen the physical restraint. 28% of the nurses face resistance due to the restraint. 78.5% of the nurses obtain informed consent for the restraint whereas 51.6% believe that the consent is not necessary. Only 9.7% of the nurses record the practice to the patient observation chart. Additionally, there is a relationship between the unit, patients they cared for daily, years in the profession and the nurses' views on restraint (p≤0.05). Conclusion: It is necessary to improve the nurses' awareness and ethical sensitivity about physical restraint. Professional development of the nurses regarding physical restraint should be maintained continuously from the beginning of their undergraduate education. An institutional committee should be established to support decision-making and monitor the restraint processes.
Geriatric Nursing, 2011
Physical restraint use among hospitalized older adults remains an important issue. Despite evidence indicating that restraints can be harmful and strict regulatory rules restricting the use of restraints, healthcare practitioners continue to utilize physical restraints, often in the name of safety. The purpose of this study was to examine the perceptions regarding physical restraint use among registered nurses (RNs) and nursing assistants (NAs). The Perceptions of Restraint Use Questionnaire (PRUQ) was used to evaluate nursing staff perceptions. The overall mean score for the PRUQ was 2.8 out of a possible 5, indicating a neutral perception. Both RNs and NAs identified treatment interference as the most important reason for restraining a patient and substituting of restraints for staff as the least important reason. This study revealed an overall less favorable perception of restraints than previous studies. NAs favored physical restraint for fall prevention more than RNs. It was also noted that protection from physical abuse and patient combativeness was the most salient reason cited by the emergency department staff. (Geriatr Nurs 2011;32:39-45)
Nurse education in practice, 2018
The use of physical restraint exposes patients and staff to negative effects, including death. Therefore, teaching nursing staff to develop the improve knowledge, skills, and attitudes regarding physical restraint has become necessary. A quasi-experimental pre-post design was used to evaluate the effect of educational intervention on nurses' knowledge, attitude, intention, practice and incidence rate of physical restraint in 12 wards of a hospital using a self-reported questionnaire and a restraint order form in Malaysia. The educational intervention, which included a one-day session on minimising physical restraint use in hospital, was presented to 245 nurses. The results showed a significant increase in the mean knowledge, attitude sand practice score and a significant decrease in the mean intention score of nurses to use physical restraint after intervention. There was a statistically significant decrease in the incidence rate of physical restraint use in the wards of the hos...
Geriatrics, 2019
Restraint in modern non-psychiatric-based healthcare is often regarded as a rare occurrence. It is deemed to be used as a last resort to prevent patients from directly harming themselves. However, techniques are used in modern day practice which are considered direct and indirect restraints with the justification of maintaining patient safety, but they are often not classified as “restraints”. Examples of these include the use of bed rails or tables to prevent patients from “wandering” and to reduce the risk of falls and injuries. More indirect techniques would involve passive interactions with patients or leaving mobility aids out of reach. Staff subconsciously restrain patients and reduce their liberties despite agreeing that patient autonomy should be upheld—a necessary evil to maintain a duty of care. Whilst the use of restraints is often justified to ensure patient care and prevent injury, it is not without consequence. There are physical and psychological health risks such as ...
Nurses Knowledge, Intention and Attitude towards the Use of Physical Restraint in Geriatric Care
Background: The use of physical restraints with elderly is a common practice in many countries. It is frequently used in the management of hospitalized elderly to ensure safety, facilitate treatment and to compensate for understaffing. There was a lack of studies concentrated on nurse's knowledge, attitude and intention towards physical restraint use with geriatric patients. Aim: Assess nurses' knowledge, intention and attitude towards the use of physical restraint in geriatric care. Method: A descriptive correlation research design was used. The study was conducted at the medical and surgical inpatient's units and intensive care units at Mansoura University hospitals. The study included a convenient sample of 150 nurses dealing with geriatric patients in the previously mentioned settings. Tools: Four tools were used: Nurses' demographic and professional characteristics structured questionnaire sheet, Nurses' knowledge about the use of physical restraint questionnaire, Nurses' intention towards the use of physical restraint questionnaire, and Nurses' attitude towards the use of physical restraint questionnaire. Results: The age of 72.7% of the studied nurses ranged between 20 and 30 years old.71% of the studied nurses have good knowledge about the physical restraint of geriatric patients. The total mean score of the studied nurses' intention and attitude towards the use of physical restraint is 19.05±5.67 and 25.4±5.67 respectively. Moreover, a statistically significant positive correlation was found between the knowledge and attitude score of the studied nurses (P = 0.001). Conclusion: Most of the studied nurses have good knowledge, neutral attitude and a high intention to use physical restraint in geriatric care. Recommendation: In-service training programs should be applied in hospitals to improve nurses' attitude and intention toward restraint use with geriatric patients as well as update their knowledge.
International Journal of Environmental Research and Public Health, 2021
There is a considerable amount of literature describing how nurses’ knowledge contributes to their attitudes and practices related to patient physical restraint. However, whether or not there have been any improvements in nurses’ knowledge levels, attitudes or practices regarding physical restraint during the past few years is unknown. A survey was conducted on nurses (n = 133) in one psychiatric hospital in Hong Kong (n = 98, response rate = 74%). The data were analyzed using independent t-tests, ANOVA, a Mann–Whitney U test, a Kruskal–Wallis test and Spearman’s rho. In general, nurses had good restraint-related knowledge with satisfactory attitudes and practices, although their knowledge levels, attitudes, and practices regarding restraint varied. Having a higher age, seniority, and education level contributed to a higher restraint-related knowledge level. Male nurses demonstrated more desirable practices (i.e., care of restrained patients), while nurses with a higher education le...
Knowledge, attitude and practice of intensive care unit nurses about physical restraint
Nursing in critical care, 2017
Physical restraint is mainly used in intensive care units (ICUs) to prevent delirious or agitated patients from removing tubes and lines connected to them. However, inappropriate use of physical restraint could have many detrimental physical effects on the patient, such as nerve damage, asphyxiation or even death. The aim of the study is to investigate nurses' knowledge, attitude and practice of physical restraint in ICUs in Jordanian hospitals, about which little is known. A descriptive and cross-sectional design was used. A convenience sample of 400 nurses working in three public hospitals and one university-affiliated hospital from different geographical regions in Jordan was selected. An Arabic version of the Physical Restraint Questionnaire (PRQ) was used to collect the data. A total of 300 completed questionnaires were returned, with a response rate of 75%. Of the total sample, 51% were males, 65.7% were from public hospitals and 80.3% held a bachelor's degree. The mea...